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Individual

DR. DANIEL JETHANAMEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 1ST AVE STE 7Q, NEW YORK, NY 10016-6402
(212) 263-5565
Mailing address
530 1ST AVE STE 7Q, NEW YORK, NY 10016-6402
(212) 263-5565

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
252721
NY
207YX0901X
Otology & Neurotology Physician
Primary
252721
NY

Other

Enumeration date
02/20/2007
Last updated
04/01/2021
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